Third Party Billing Request Form

Third Party Billing Request Form

The following form authorizes EWUA to send e-bills for your property to a third party.

Third Party Billing Request Form

Overview

Please indicate the nature of the third party:
Please note: Eastsound Water does not “pro rate” bills to support tenant changes. This must be settled by the owner.

Owner Information:

Service Address
Service Address
City
State/Province
United States
Owner Billing Preference:

Renter Information:

Renter Name
Renter Name
First
Last
Tennant Billing Copy Preference:

ACKNOWLEDGEMENT:

By checking this box and clicking submit, I verify this request to Eastsound Water Users Association is legally correct and accurate. I authorize EWUA to send e-bills for your property to a third party.